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Individual

CYNTHIA MIDDLETON GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
(318) 435-3842
Mailing address
PO BOX 1300, WINNSBORO, LA 71295-1300
(318) 435-9411
(318) 435-3842

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
03706
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1378127
LA
Enumeration date
03/11/2010
Last updated
11/29/2018
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